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Mifepristone Versus Laminaria Insertion for Cervical Preparation Prior to Surgical Abortion at 14-16 Weeks (SAMi)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00986921
Recruitment Status : Completed
First Posted : September 30, 2009
Results First Posted : December 2, 2013
Last Update Posted : January 31, 2014
Society of Family Planning
Information provided by (Responsible Party):
Lynn Borgatta, Boston University

Brief Summary:
Women who are requesting pregnancy termination at 14-16 weeks, who would normally have osmotic dilator insertion the day before their procedure, would be asked if they wanted to participate. Participants would be randomized to two groups: first, dilator insertion as usual, or second, mifepristone taken the day before the procedure.

Condition or disease Intervention/treatment Phase
Abortion Drug: mifepristone 200 mg Device: osmotic dilator insertion Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Mifepristone vs. Laminaria Insertion for Cervical Preparation Prior to Surgical Abortion at 14-16 Weeks
Study Start Date : October 2009
Actual Primary Completion Date : March 2011
Actual Study Completion Date : March 2011

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: mifepristone
women in the mifepristone are would take mifepristone 200 mg for cervical preparation the day before their procedure, and not have dilators inserted. In this group, the sstandard procedure of osmotic dilator insertion is NOT performed.
Drug: mifepristone 200 mg
mifepristone would be given the day before the procedure

Active Comparator: Osmotic dilator insertion
Women assigned to this arm would have the standard procedure for cervical preparation, which is insertion of osmotic dilators the day before the abortion procedure
Device: osmotic dilator insertion
osmotic dilators (3-6) would be inserted as usual the day before the procedure

Primary Outcome Measures :
  1. Time for Completion of Procedure [ Time Frame: Performance and completion of the abortion procedure takes 10-20 minutes. The length of the procedure is measured. The procedure occurs approximately 24 hours after enrollment. ]
    Minutes, from the time of the start of the procedure (speculum insertion) to the conclusion of the procedure (speculum removal)

Secondary Outcome Measures :
  1. Assessment of Ease of Procedure by Operator [ Time Frame: It is administered shortly after the primary outcome, which is one day after enrollment. The study is complete at that point. ]
    The operator for each procedure rated the ease of procedure on a categorical scale. The categories were collapsed into two: "easy or very easy" and "average or difficult".

  2. Moderate or Severe Pain Overnight [ Time Frame: Overnight ]
    Women wer asked to rank their amount of pain on a catergorical scale. The outcome measure is the number of women experiencing moderate or severe pain overnight (after mifepristone or osmotic dilators, and before the abortions procedure)

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • women aged 18-45 having pregnancy termination at 14-16 weeks

Exclusion Criteria:

  • multiple gestation, pre-existing infection, contraindication to osmotic dilators, unable to obtain proper consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00986921

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United States, Massachusetts
Boston Medical Center
Boston, Massachusetts, United States, 02118
Sponsors and Collaborators
Boston University
Society of Family Planning
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Principal Investigator: L B, MD, MPH Boston University
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Lynn Borgatta, Principal investigator, Boston University Identifier: NCT00986921    
Other Study ID Numbers: SAMi
First Posted: September 30, 2009    Key Record Dates
Results First Posted: December 2, 2013
Last Update Posted: January 31, 2014
Last Verified: December 2013
Keywords provided by Lynn Borgatta, Boston University:
Length of time for procedure to be completed
Need for additional dilation
Subject satisfaction with procedure
Additional relevant MeSH terms:
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Abortifacient Agents, Steroidal
Abortifacient Agents
Reproductive Control Agents
Physiological Effects of Drugs
Contraceptives, Oral, Synthetic
Contraceptives, Oral
Contraceptive Agents, Female
Contraceptive Agents
Contraceptives, Postcoital, Synthetic
Contraceptives, Postcoital
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Luteolytic Agents
Contraceptive Agents, Hormonal
Menstruation-Inducing Agents